Provider Demographics
NPI:1356490171
Name:GARIOLO, RICHARD LOVIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LOVIS
Last Name:GARIOLO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LINCOLN BOULEVARD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1173
Mailing Address - Country:US
Mailing Address - Phone:201-967-9333
Mailing Address - Fax:201-967-9466
Practice Address - Street 1:12 LINCOLN BOULEVARD
Practice Address - Street 2:SUITE 206
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1173
Practice Address - Country:US
Practice Address - Phone:201-967-9333
Practice Address - Fax:201-967-9466
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00001100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health